| Mrs Patricia R Ainsworth, PT | |
|
100 County Road B, Shawano, WI 54166-7072 | |
| (715) 526-2111 | |
| Not Available |
| Full Name | Mrs Patricia R Ainsworth |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 County Road B, Shawano, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790945863 | NPI | - | NPPES |
| 40381800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4120024 (Wisconsin) | Primary |
| Provider Name | Sundance Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Patricia R Ainsworth, PT 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 526-2111 | Mrs Patricia R Ainsworth, PT 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 526-2111 |
Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225 | |
Mr. Ron K Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 E Green Bay St Ste A, Shawano, WI 54166 Phone: 715-526-5221 | |
Rachel Ann Lohrengel, D-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999 | |
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Erin M Leanna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |